1. Maternal Mortality in the Free State
Free State Isibalo Symposium
Tuscan Rose
10 – 11 October 2013
Monica Engelbrecht

2. DATA SOURCES USED CONFIDENTIAL ENQUIRY IN MATERNAL DEATHS PROCESSES
PPIP
CHPIP
DHIS
Monica Engelbrecht

3. SOURCES PROVIDE FACILITY BASED DATA BUT NO DATA ON HOME/OUTSIDE DEATHS
DATA MORE FLEXIBLE IN CONTEXT OF CAUSES AND AVOIDABLE/MODIFIABLE FACTORS
ACCURATE NUMBERS AS EACH PATIENTS DEATH FILE ARE AUDITED
Monica Engelbrecht

4.
Monica Engelbrecht

5. FREE STATE
Monica Engelbrecht

6. Monica Engelbrecht

7. Monica Engelbrecht

8. STRATEGIES TO REDUCE MMR
PROCUREMENT OF DEDICATED INTERFACILITY AMBULANCES
ESMOE TRAINING
Monica Engelbrecht

9. Monica Engelbrecht

10. Monica Engelbrecht

11. Monica Engelbrecht

12. Monica Engelbrecht

13. Maternal deaths notified
By Month
2011
2012
2013
January 12 6 10
February 7 8
March 13 5
April 9
May 14
June
July 3
August
September 11 1
October 4
November 16
December
Year total
128 76 59
Monica Engelbrecht

14. Maternal deaths notified by district
2011
2012
2013
Mangaung 25 15 11
Fezile Dabi 21 6 13
Lejweleputswa 31 18 20
Thabo Mofutsanyane 38 24
Xhariep 1
Central 12
Total
128 76 58
Monica Engelbrecht

15. Monica Engelbrecht

16. MMR per 100,000 deliveries
Monica Engelbrecht

17. STRATEGIES FOR 2013/2014
Intensify ESMOE training and simulation exercises
Establishment of Maternity waiting Homes
Advanced Basic Antenatal care training
Relationship with STATS SA to fill the data gap between reported deaths and actual registered deaths.
Monica Engelbrecht

18. THANK YOU FOR LISTENING
Monica Engelbrecht